Individual
ARCHIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 G ST NE, WASHINGTON, DC 20002-7403
(240) 351-1489
Mailing address
9527 WESTERDALE DR, UPPER MARLBORO, MD 20774-2440
(202) 600-1709
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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